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Comparison of spinopelvic fixation and iliosacral screw fixation for posterior pelvic ring injuries.
Ulus Travma Acil Cerrahi Derg
January 2025
Department of Orthopedics and Traumatology, Ankara Etlik City Hospital, Ankara-Türkiye.
Background: There is no consensus in the literature regarding the optimal treatment method for posterior pelvic ring injuries. This study aims to compare the radiologic and clinical outcomes, as well as complications of spinopelvic fixation (SPF) and iliosacral screw fixation (ISF) in patients with posterior pelvic ring injuries.
Methods: This retrospective study analyzed 54 patients (37 females, 17 males; mean age 38.
Clinical Presentation and Integrated Management of Pressure Injuries in the Emergency Hospital Setting: A Plastic Surgeon's Perspective.
Healthcare (Basel)
December 2024
Department 11, Discipline Plastic and Reconstructive Surgery, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania.
: Pressure injuries are localized areas of tissue damage or necrosis that occur when pressure is applied to the skin for prolonged periods, often over bony prominences, often the sacrum, heels, ischial tuberosities, and greater trochanters. The pathophysiology is complex, involving a combination of mechanical forces, ischemia, and tissue hypoxia. : We conducted a 2-year retrospective study aiming to assess the clinical characteristics, risk factors, and management of pressure injuries in patients admitted to an emergency hospital who underwent a plastic surgery examination.
View Article and Find Full Text PDFChronic pelvic insufficiency fractures and their treatment.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Article Synopsis
- Fragility and insufficiency fractures of the pelvis and sacrum are on the rise among the elderly due to weakened bones, leading to persistent pain, reduced mobility, and a risk of loss of independence.
- While conservative treatments are an option, surgery is often preferred for unstable fractures, especially since many patients do not receive adequate preventative care for osteoporosis-related fractures.
- Diagnostic imaging is crucial for identifying these fractures, with CT scans being the gold standard, but MRI offers the highest sensitivity for detecting complex fractures, guiding treatment based on fracture type and stability.
Safe corridors for sacroiliac fixation in pediatric patients.
Eur J Orthop Surg Traumatol
December 2024
Department of Orthopedics and Traumatology, Hospital do Trabalhador, Curitiba, PR, Brazil.
Introduction: Pelvic ring fractures are rare in the pediatric population and can be treated using sacroiliac screws when needed. The aim of this study was to identify safe anatomical corridors for sacroiliac fixation in different pediatric age groups and also to determine the prevalence of sacral dysmorphism in the study sample.
Method: We measured the dimensions of the horizontal and oblique S1 corridors and the horizontal S2 corridor in pelvic computed tomography scans of 138 children aged 1 to 16 years.
Traumatic lumbosacral instability: part 1 - proposing a definition and identifying underlying injury patterns.
Arch Orthop Trauma Surg
December 2024
Harborview Medical Center, University of Washington School of Medicine, Seattle, Seattle, USA.
Traumatic lumbosacral instability (TLSI) generally refers to a traumatic disruption of the lumbopelvic junction. The ambiguous use of this term has contributed to confusion and limited understanding of injuries that can impact lumbosacral stability. As of now, TLSI lacks a clear definition, and the underlying injury patterns remain inadequately characterized.
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